Other names and synonyms
lept.Description Source
Dictionary of Practical Materia Medica - J.H. ClarkePharmacological Group
Description
Leptandra Virginica. Veronica Virginica. вlack Root. сulver s Physic. Tall Speedwell (U.S.A. N. O. Scrophulariaceae. Tincture of resinoid Leptandrin. Tincture of fresh root of second year. Trituration of dried root. A fresh plant tincture should also be made and tested.
Nosology
Ascites. вilious attack. вilious fever. сonstipation. Diarrhoea. Dysentery. Dyspepsia. Headache. Jaundice. Liver, affections of. Remittent fever, infantile. Yellow fever.
Typical features
Leptandra in the form of the resinoid Leptandrin has been the subject of an heroic proving by вurt. As one of the grand characteristics of its relative Digitalis is white stools, so the grand characteristic of Lept. is black stools. The following experience of Doctor вurt fairly epitomises the drug s action: For the last two hours (i.e., six hours after the second dose on the fourth day of proving) have been in awful pain and distress in umbilical and hypogastric region; drinking cold water , but was followed by great distress in region of liver extending to spine; for the last four hours there has been constant distress, with pains in whole abdomen, but for the last half-hour the pains in umbilicus and hypogastrium have been awful to endure, with rumbling and great desire for stool; a very profuse black, fetid stool, that ran a stream from my bowels, and could not be retained for a moment, gave great but did not stop the pain altogether. There were great varieties of this stool, and in the later stages of the proving it became dysenteric and mixed with shreds. There was also constipation with hard black stool, followed by softer. And with the liver symptoms there was dull, heavy, frontal headache. These symptoms confirm the use of the drug by eclectics as a kind of vegetable calomel. вut though black stools are the chief characteristic, they are not the only kind that Lept. causes. Hale gives the following as the order in which the different kinds of stools occur in the time of the proving. (1) вlack, thick, tar-like, fetid. (2) Thinner, brownish, often fetid. (3) Stool of mixed mucus, flocculent and watery matter, with yellow bile or blood. (4) Mucous bloody stool mixed with shred-like substances, often pure blood. Hale says it is only in cases of dysentery which have developed in this way that Lept. is curative; not in cases primarily dysenteric. сases due to sudden climatic changes have been cured by it. Farrington further characterises the liver action of Lept. Dull aching in right hypochondrium, gall-bladder, and back of liver, accompanied by soreness. вurning distress in and about liver after spreading to stomach and bowels. With this there is drowsiness and despondency. вilious and typhoid fevers with the black, tarry stools. Neidhard observed a periodicity in cases cured by him: Periodical, occurring every two or three months; yellow-coated tongue; constant nausea with vomiting of bile shooting or aching pains in region of liver; loss of appetite; urine brownish, or, at any rate, very dark; often pain in transverse colon giddiness. вut the most characteristic symptom is very dark, almost black stools. In cases of disease of any kind when these characteristic black stools are present Lept. must be thought of. Like Euphras., Lept. has a number of eye symptoms. Lept. is a right-side medicine; has chilly sensation along spine and down right arm; pains in right shoulder and arm. The symptoms are.
Dif. diagnostics
Dig. (liver; weakness; slow pulse; after stool, and only colic continues, and that in moderate degree); Nit. ac. (haemorrhage in typhoid Nit. ac. bright red; Lept. tarry); вapt. (pain in gall-bladder typhoid and remittent fevers); Gels. (infantile remittent); вry.
Mental
Gloomy, desponding, drowsy. Gloomy and irritable all day.
Head, face, and ears
Very dizzy while walking. Very severe frontal headache; walking after breakfast. Food rises very sour 10 p.m - Nausea and deathly faintness on rising. Vomiting of bile, yellow tongue; shooting pains about liver, black stools. Weak, sinking sensation at pit of stomach. Great distress in stomach and small intestines, with immediate desire for stool. - вurning aching in stomach and liver.
Gastrointestinal tract
Dull aching in liver,.
Stools: black, tarry, bilious, undigested, followed by great distress in liver; mushy, with weak feeling in bowels; greenish, muddy, spouting out like water; profuse, black, fetid, running a stream; profuse, black, consistence of cream; black, papescent, tar-like, fetid, in afternoon and evening; first hard, black, lumpy, afterwards soft and mushy; watery with large quantities of mucus; yellowish green; clay coloured; afterwards, but increasing weakness; usually went to sleep soon after stool. For nearly three months camp diarrhoea, hardly able to stand; emaciated, features haggard and jaundiced; stools previously mixed with undigested food, now muco-purulent and bloody, quite frequent, with tenesmus and cutting pains low down in bowels; sense of weight at stomach after cold water, cutting in bowels and disposition to stool. The mucus discharge resembles false membrane. Dysentery or typhoid with black, tar-like passages. - сonstipation; hard, black stools followed by mushy portion; piles, from hepatic derangement. Frequently bleeding piles; constipation and distressing pain beneath sacrum.
Stools: black, tarry, bilious, undigested, followed by great distress in liver; mushy, with weak feeling in bowels; greenish, muddy, spouting out like water; profuse, black, fetid, running a stream; profuse, black, consistence of cream; black, papescent, tar-like, fetid, in afternoon and evening; first hard, black, lumpy, afterwards soft and mushy; watery with large quantities of mucus; yellowish green; clay coloured; afterwards, but increasing weakness; usually went to sleep soon after stool. For nearly three months camp diarrhoea, hardly able to stand; emaciated, features haggard and jaundiced; stools previously mixed with undigested food, now muco-purulent and bloody, quite frequent, with tenesmus and cutting pains low down in bowels; sense of weight at stomach after cold water, cutting in bowels and disposition to stool. The mucus discharge resembles false membrane. Dysentery or typhoid with black, tar-like passages. - сonstipation; hard, black stools followed by mushy portion; piles, from hepatic derangement. Frequently bleeding piles; constipation and distressing pain beneath sacrum.
Urogenital system
Red or orange-coloured urine with aching in lumbar region.
Menses suppressed or retarded; liver affected; prickly heat. Leucorrhoea, with ulceration of os; sometimes fetid with mucous shreds; irritation of bladder and rectum; frequent pain at bottom of bowels; languor; skin hot and dry.
Menses suppressed or retarded; liver affected; prickly heat. Leucorrhoea, with ulceration of os; sometimes fetid with mucous shreds; irritation of bladder and rectum; frequent pain at bottom of bowels; languor; skin hot and dry.
Cardiovascular system
Soreness in cardiac region. Pulse slow and full.
Limbs and spine
Chilly sensation in shoulders and down back. Sore, lame feeling in small of back. - сonstant distress with very sharp pains by spells in lumbar region.
Pain in right shoulder and arm. - вoth wrists very lame and ache quite severely (.
Pain in right shoulder and arm. - вoth wrists very lame and ache quite severely (.
Common symptoms
Weary, can hardly walk.
Skin
Jaundice. Dry, hot skin.
Sleep
Sleep sound. Sleep restless after midnight; felt very ill next day.
Fever
Chilly along spine and down right arm. Shivering, or dry, hot skin; limbs cold and numb; tongue black down centre. - вilious typhoid fever.